Clinical Hypertension in Practice

by Gregory YH Lip

• ISBN13: 9781853154850
• ISBN10: 1853154857
• Edition: 1st
• Format: Paperback
• Copyright: 2003-01-17
• Publisher: Hodder Arnold Publishers

Summary

This practical guide provides an up-to-date summary on how to manage clinical hypertension in everyday practice. In addition to providing an overview of its epidemiology and pathophysiology, the book also contains focused reviews on various pharmacological therapies and how to lower bloodpresure through lifestyle changes. Specialist patient groups and hypertension during pregnancy are also discussed.

Table of Contents

Epidemiology	p. 1
Blood pressure and cardiovascular risk	p. 1
Prevalence	p. 5
Aetiology	p. 8
Hypertension and the menopause	p. 9
Pathophysiology	p. 11
Cardiac output and peripheral resistance	p. 11
Renin--angiotensin system	p. 12
Autonomic nervous system	p. 14
Hypercoagulability	p. 14
Endothelial dysfunction	p. 15
Other factors	p. 15
Intrauterine influences	p. 16
Target organ damage	p. 19
Cerebrovascular disease	p. 19
Heart	p. 20
Large vessel arterial disease	p. 24
Kidney and renal failure	p. 25
Retinopathy	p. 27
Hypertension in the context of overall risk	p. 27
Clinical assessment	p. 29
Confirmation of the diagnosis	p. 29
Investigations for all hypertensive patients	p. 30
Investigations for selected patients	p. 32
Blood pressure measurement	p. 33
Treatment	p. 37
Starting antihypertensive therapy	p. 37
Non-pharmacological management	p. 39
Pharmacological management	p. 42
Resistant hypertension	p. 56
British Hypertension Society guidelines	p. 60
Special patient groups	p. 63
Diabetes	p. 63
Coronary artery disease	p. 66
Cardiac failure	p. 66
Hypertension following a stroke	p. 67
The elderly	p. 68
Renal disease	p. 70
Peripheral vascular disease	p. 71
Ethnic groups	p. 72
Hyperlipidaemia	p. 74
Oral contraceptives	p. 74
Hormone replacement therapy	p. 75
Anaesthesia and surgery	p. 76
Children	p. 76
Pregnancy	p. 79
Introduction	p. 79
Pre-existing essential hypertension	p. 80
Secondary hypertension	p. 81
Pregnancy-induced hypertension	p. 81
Pre-eclampsia	p. 81
Eclampsia	p. 83
Choice of antihypertensive therapy	p. 83
Further pregnancy	p. 84
Urgencies and emergencies	p. 87
Epidemiology	p. 87
Pathophysiology	p. 89
Clinical features	p. 90
Physical signs	p. 90
Early management	p. 91
Summary	p. 94
Index	p. 97
Table of Contents provided by Rittenhouse. All Rights Reserved.